RT Journal A1 Suchman AL T1 EXploring the ethics of clinical role conflicts JF JAMA JO JAMA YR 1999 FD July 14 VO 282 IS 2 SP 132 OP 133 DO 10-1001/pubs.JAMA-ISSN-0098-7484-282-2-jbk0714 UL http://dx.doi.org/10-1001/pubs.JAMA-ISSN-0098-7484-282-2-jbk0714 AB To the Editor: Dr Bloche1 advocates an approach to ethical analysis based on considering the implications of a particular action or decision for the patient-clinician relationship. This ethical analysis is a welcome alternative to more traditional ethical discourse based on the detached application of abstract principles to decisions. It provides an appropriate complement to the evolution in clinical practice from a biomedical approach to a biopsychosocial or systems approach now called "relationship-centered care."2